The Laboratory-based Physician Scientist
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1 The Laboratory-based Physician Scientist
2 Michael Carrithers, MD, PhD Director, Program in Neuroimmunology and Neurological Infections Associate Professor Departments of Neurology and Microbiology & Immunology University of Illinois-Chicago Jesse Brown VA Hospital
3 Overview A bit of science Life and career path Bit more science The sandwich and land of cheese The lean model of an academic laboratory Career development
4 Carrithers Laboratory Novel adaptive and innate immune signaling mechanisms in viral and autoimmune disease of the CNS Genetic determinants of response to a MS treatment Role of macrophages in recovery from inflammatory injury Novel viral pattern recognition mediated by intracelllular sodium channels Disclosures: Biogen-Idec/Elan
5 The SCN5A pathway regulates transcriptional response to cytosolic poly I:C, a mimic of viral dsrna
6 Cytosolic poly I:C increases the macrophage SCN5A inward current and decreases the outward current
7 Current work The Aedes aegypti AAEL sodium channel variant is a pattern recognition molecule for ssrna. Co-evolution of virus, vector and host autoimmunity. Signaling by human macrophage SCN5A and other pattern recognition channels: Anti-viral immunity and autoimmunity Transcription and cytoplasmic RNA splicing Regulation of secretome (immune responses and axonal growth)
8 Life Path
9 Medical Scholars : Challenges Length of time for graduate work Potential thesis topics tended not to be diseasebased Few (or no) physician scientists No university hospital M3-M4 clinical training and evaluation Distant, non-academic VA Absence of academic clinical chairs Rationale for picking area for residency
10 Yale University and Yale New-Haven Hospital Neurology residency (research track) Marriage Chief Resident in Neurology Fellowship in basic immunology and clinical neuroimmunology/multiple sclerosis Parenthood Junior faculty Independent laboratory
11 Original goal was to determine how normal CNS immune surveillance occurred
12 CNS immune surveillance occurs predominantly through the blood-csf barrier
13 CNS immune surveillance by T lymphocytes is not dependent on alpha 4 integrin
14
15 Regulation of clinical responsiveness to antialpha 4 integrin treatment in experimental autoimmune encephalomyelitis (EAE) by epithelial V-like antigen (EVA)
16 The increased humoral response in EVA-KO occurs systemically and in the CNS
17
18 Expectation of work-life balance can be wrong
19 The Lean Laboratory Model
20 Current clinical and teaching activities Weekly half day subspecialty MS clinics at UIC and JBVA 8 weeks of inpatient coverage Resident and student teaching Program development Administrative Physician scientist and access to graduate students
21 The Lean Laboratory Model: Lab Management
22 The Lean Laboratory Model: Resource Allocation In lab: Tissue culture, microscopy for histology and live cell imaging, qpcr, electrophysiology Local core facilities: Genomics, flow cytometry, animal care Off-site: Proteomics, transgenic mouse breeding and genotyping Limited staff Vastly improved bench techniques over last years
23 Career development in academic medicine
24 Faculty tracks Traditional tenure track Clinician scientist Clinician educator
25 When does promotion clock start? Know specific requirements for your track. Mentor committees can be helpful or can hinder progress. Usually need expertise in a subspecialty or specific area of interest (generalists) Research publications, grants, clinical trials, reviews, case studies, local and national talks, teaching, administrative duties
26 UIC Neurology New chair (Jeff Loeb, MD, PhD) Five new physician scientist hires in MS, neurooncology, stroke, neuromuscular, and epilepsy Clerkship available
27 Questions
Handy Gelbard, Director Professor of Neurology, Pediatrics, Microbiology & Immunology and Neuroscience
The Center for Neural Development and Disease (will be The Center for NeuroTherapeutics Discovery) Handy Gelbard, Director Professor of Neurology, Pediatrics, Microbiology & Immunology and Neuroscience
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